Individual provider Active NPI

Jessica Bloom, M.A.

  • Mental Health Counselor
  • Deerfield, IL
National Provider Identifier
1144633520
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180010738 Issued in IL
Practice address
570 Lake Cook Rd Ste 117
Deerfield, IL 60015-4953
Phone
(727) 237-6735
NPI assigned
Jun 3, 2014
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180010738 IL Primary

Addresses

Primary practice location

570 Lake Cook Rd Ste 117
Deerfield, IL 60015-4953

Mailing address

570 Lake Cook Rd Ste 117
Deerfield, IL 60015-4953
Phone (727) 237-6735

Other names 1

  • Jessica Yost Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180010738ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
In Bloom Counseling, PLLC Mental Health CurrentSince Jan 1, 2022 Accepting new patients

Locations

570 Lake Cook Rd
Ste 117
Deerfield, IL 60015
Phone (727) 237-6735

3633 W Lake Ave
Ste 308
Glenview, IL 60026
Phone (727) 474-1588

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1144633520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LAKE COOK RD STE 117",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154953",
            "telephone_number": "727-237-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LAKE COOK RD STE 117",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154953",
            "telephone_number": "727-237-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "YOST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.